Active NPI
Tondala Fowler, CAMS,B.S.
- Contractor
- Frisco, TX
National Provider Identifier
1457885808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 14692890
- Practice address
- 8811 Teel Parkway , TLC Enterprise,LLC
Suite 100-5222
Frisco, TX 75035 - Phone
- (214) 577-8664
- Fax
- (214) 305-6911
- NPI assigned
- Apr 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 14692890 | TX | Primary |
Addresses
Primary practice location
8811 Teel Parkway , TLC Enterprise,LLC
Suite 100-5222
Frisco, TX 75035
Mailing address
8811 Teel Parkway , TLC Enterprise,LLC
Suite 100-5222
Frisco, TX 75035
Phone (214) 577-8664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14692890 | TX | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC Enterprise | Past | Accepting new patients | |
| Tondala Latrece Company Enterprise,LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Frisco, TX
- NPI 1629523311
-
- Non-emergency Medical Transport (VAN)
- Frisco, TX
- NPI 1508391244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1457885808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8811 TEEL PARKWAY , TLC ENTERPRISE,LLC",
"address_2": "SUITE 100-5222",
"city": "FRISCO",
"state": "TX",
"postal_code": "75035",
"telephone_number": "214-577-8664",
"fax_number": "214-305-6911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8811 TEEL PARKWAY , TLC ENTERPRISE,LLC",
"address_2": "SUITE 100-5222",
"city": "FRISCO",
"state": "TX",
"postal_code": "75035",
"telephone_number": "214-577-8664",
"fax_number": "214-305-6911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "TONDALA",
"credential": "CAMS,B.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": "14692890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.